Poverty Related Education in Pediatrics: Current State, Gaps and Call to Action

Melissa Klein1, Elizabeth Hanson2, Cara Lichtenstein3

  • 1Cincinnati Children's Hospital Medical Center, University of Cincinnati College of Medicine (M Klein), Cincinnati, Ohio.

Academic Pediatrics
|November 6, 2021
PubMed

Insights

Pediatric medical education must improve training on poverty and racism to address child health inequities. Enhanced curricula and faculty development are crucial for equipping future physicians to tackle these social determinants of health.

Area of Science:

  • Pediatric Medical Education
  • Social Determinants of Health
  • Health Equity

Background:

  • 1 in 6 children (12 million) live in poverty, a critical issue impacting child health.
  • COVID-19 exacerbated existing inequities, highlighting the need for medical professionals to address poverty's health effects.
  • Poverty, racism, and social factors significantly affect child health and well-being, necessitating targeted educational interventions.

Purpose of the Study:

  • To assess the current state of poverty-related training in pediatric medical education (undergraduate, graduate, continuing).
  • To identify gaps and opportunities for enhancing curricula, focusing on the intersectionality of poverty and racism.
  • To propose a framework for developing effective, outcome-oriented poverty-related education and training.

Main Methods:

  • Review of current pediatric medical education curricula regarding poverty and related health inequities.
  • Application of a logic model framework to outline educational content, learning strategies, and desired outcomes.
  • Emphasis on community partnerships, technology integration, faculty development, and robust evaluation methods.

Main Results:

  • Significant gaps exist in current pediatric medical education concerning poverty and its intersection with racism.
  • Need for robust evaluation of poverty-related training programs is identified.
  • Opportunities for incorporating best practices, technology, and community-based learning are highlighted.

Conclusions:

  • There is a critical need to enhance pediatric medical education to address poverty-related health inequities.
  • Collaboration among institutions, accrediting bodies, and policymakers is essential for systemic change.
  • Developing skilled educators and mentors is vital for advancing poverty-focused medical training.

Related Concept Videos

Specialized Care Centers and Settings-II01:30

Specialized Care Centers and Settings-II

Rural Health Centers
Rural health centers are specialized care facilities in remote locations with very few medical personnel. The primary care providers who run the centers are mostly Registered Nurse Practitioners. Here, emergency treatment is provided to critically ill or injured patients before they are transferred to the closest hospital. Fortunately, due to advancement in technology, many rural healthcare facilities and professionals have easy access to diagnostic and treatment...
795
Pharmacokinetics in Pediatric Patients: Drug Excretion01:26

Pharmacokinetics in Pediatric Patients: Drug Excretion

In pediatric medicine, understanding the renal function and drug elimination nuances is crucial for administering safe and effective treatments. Newborns, in particular, display markedly slower renal functions than adults, profoundly affecting how drugs are cleared from their bodies. This slower drug clearance requires clinicians to extend the dosing intervals for many medications to prevent drug accumulation and toxicity while ensuring therapeutic efficacy.One key area where these adjustments...
23
Pharmacokinetics in Pediatric Patients: Overview and Drug Absorption01:23

Pharmacokinetics in Pediatric Patients: Overview and Drug Absorption

Understanding the physiological differences in the pediatric population is crucial for effective pharmacotherapy. Neonates, infants, and children exhibit significant variations in gastric pH, gastric emptying time, intestinal transit time, and biliary function. These variations profoundly affect oral drug absorption, necessitating a nuanced approach to pediatric dosing.Neonates present with a unique physiological profile, having a gastric pH greater than 4 and faster and more irregular gastric...
23
Primary Healthcare Services01:30

Primary Healthcare Services

Primary care promotes wellness and prevents disease. This care includes health promotion, education, protection (such as immunizations), early disease screening, and environmental considerations. Settings providing this type of healthcare include physician offices, public health clinics, school nursing, and community health nursing.
In 1978, international leaders convened in Alma-Ata, Kazakhstan, for what would be a pivotal event in global health. The Alma-Ata Declaration was the first to call...
1.6K
Health Literacy01:21

Health Literacy

Health literacy is an individual's or a community's capacity to comprehend, receive, read, and use relevant healthcare information and services. The World Health Organization (WHO, 2018) defines health literacy as the cognitive and social skills that determine the ability of individuals to gain access to, understand, and use information in ways that promote and maintain good health. As a result, the WHO helps individuals manage long-term health concerns, participate in preventative...
4.5K
Pharmacokinetics in Pediatric Patients: Drug Distribution01:17

Pharmacokinetics in Pediatric Patients: Drug Distribution

Drug distribution in the pediatric population exhibits unique challenges and considerations due to the physiological differences between children, particularly neonates and infants, and adults. A crucial aspect of pediatric pharmacology is understanding how these differences impact the pharmacokinetics of various drugs, necessitating age-specific dosing strategies to ensure efficacy and safety.Neonates and infants have a higher total body water content, ~75%–90% of their body weight,...
27